2012-05-11T14:40:44-07:00 2011-06-30 MYERS BRIER & KELLY LLP 2 BALA PLZ STE 300 BALA CYNWYD PA 190041512 990 2010-07-01 953702136 QUEENSCARE FAMILY CLINICS QUEE 3236694345 1300 N VERMONT AVENUE LOS ANGELES CA 90027 BARBARA B HINES 3236694345 2012-04-30 JOSEPH E LUNDY 6106607788 2012-05-11 2010 2016-02-24 21:20:13Z BARBARA B HINES 1300 N VERMONT AVENUE STE 1002 LOS ANGELES CA 90027 23154870 false X www.queenscarefamilyclinics.org X 1925 CA QUEENSCARE FAMILY CLINICS, DIRECTLY AND INDIRECTLY,PROVIDES MEDICAL, DENTAL,AND VISION CARE SERVICES TO UNDERSERVED AND NEGLECTED POPULATIONS IN LOS ANGELES COUNTY, INCLUDING THE UNINSURED, INDIGENT, ELDERLY, AND CHILDREN. 15 15 217 0 0 6146366 5921304 15951465 17002670 2963 174279 227933 22272110 23154870 0 0 11372850 12100953 101700 12000 12000 8040052 9003442 19514602 21116395 2757508 2038475 8340715 10475922 1130397 1227129 7210318 9248793 QUEENSCARE FAMILY CLINICS, false false 19369635 17233566 QUEENSCARE FAMILY CLINICS PROVIDES DIRECTLY AND THROUGH THE QFC/QCP PARTNERSHIP MEDICAL, DENTAL, AND VISION SERVICES TO UNDERSERVED POPULATIONS, IN- CLUDING THE UNINSURED, INDIGENT, ELDERLY, AND CHILDREN. DURING THIS FISCAL YEAR, QUEENSCARE FAMILY CLINICS PROVIDED SERVICES TO MORE THAN 37,000 PATIENTS WHICH ACCOUNTED FOR MORE THAN 138,000 VISITS. 19369635 true true false false false false false false true true false false false false true true false false false false false false false false false false false false true false false false false false false false false true false false false false true true true false true 118 0 true 217 true false false false false false false false false false false X 15 15 false true false false false false false true true false false true true true true true true true false false CA X X BARBARA B HINES CEO 3236694305 1300 N VERMONT AVE STE 1002 LOS ANGELES CA 90027 ALLAN MICHELENA 2.00 X X 1775 0 0 SR JUDY MURPHYCSJ 10.00 X X 14800 62000 0 JAY GUERENA 2.00 X X 1475 0 0 JORGE BLANCO 2.00 X 1100 0 0 SHIRLEY DANIELS 2.00 X 1200 0 0 ARCHBISHOP VATCHE HOVSEPIAN 2.00 X 1100 0 0 FRANK REY DE PEREA 2.00 X 1700 0 0 MARY EVELYN RAMOS 2.00 X 800 0 0 WILLY RUIZ 2.00 X 800 0 0 MARGARITA DUARTE TUCKER 2.00 X 1000 0 0 NONGYAO VARANOND 2.00 X 0 0 0 SR MARTHA VEGASSS 2.00 X 900 0 0 RAY VERNOY 2.00 X 1200 0 0 DAVID WALSH 2.00 X 1050 0 0 FR ANGELOS YOUSSEF 2.00 X 1500 0 0 BARBARA B HINES 20.00 X 108248 111639 0 ALAN ROTHFELD MD 25.00 X 176311 0 0 GUILLERMO DIAZ MD 40 X 169572 ALEJANDRO A ARMSTRONG 40 X 135731 LEE E HUEY 20 X 83928 82793 FIKRY FANOUS MD 40 X 199501 KHANH NGUYEN MD 40 X 182822 ILLUMINADA BETITA MD 40 X 162861 ANGELITA ARAQUEL MD 40 X 164825 YUNG SOON AHN MD 40 X 163723 1577922 256432 9 false true false QUEST DIAGNOSTICS PO BOX 555 LOS ANGELES CA 90017 LAB SERVICES 561141 UNIVERSAL PROTECTION SERV PO BOX 512719 LOS ANGELES CA 90051 SECURITY 209343 EXACT STAFF INC 21031 VENTURA BLVD STE 501 WOODLAND HILLS CA 91364 Contract Workers 130913 LADDARAN MEDICAL GRP PO BOX 5555 LOS ANGELES CA 90000 RADIOLOGY SERVICES 116904 4 3105800 2815504 2276403 5921304 NET PATIENT REVENUE 621400 12495992 REV FROM QFC/QCP PART 621400 4506678 17002670 2963 OTHER REVENUE 621400 227933 227933 227933 23154870 17233566 744720 385360 359360 0 8444467 8002625 441842 0 20550 20550 0 0 2142195 1954571 187624 0 749021 682787 66234 0 48439 2618 45821 0 45000 0 45000 0 12000 12000 101552 97626 3926 0 244118 212561 31557 0 83461 40627 42834 0 393669 363432 30237 0 422713 390638 32075 0 RENT 969145 763495 205650 0 PHYSICIAN FEES 711170 711170 0 0 LAB FEES 783634 783634 0 0 MEDICAL & OTHER SUPPLIES 543776 540488 3288 0 PHARMACEUTICALS 2559392 2559392 0 0 2097373 1858061 239312 0 21116395 19369635 1734760 12000 2450 2750 3396358 6077674 791498 925967 1214085 392649 901584 1022557 144184 115458 6425333 4856343 1449455 1568990 75000 75000 366101 294877 8340715 10475922 1130397 1227129 1130397 1227129 X 6325312 8154307 885006 1094486 7210318 9248793 8340715 10475922 2038475 X false true true X true true X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 885006 1081782 872302 1094486 679706 2209762 2004462 885006 723476 43770 679706 0.00000 0.00000 1.00000 false false 1436561 786894 649667 4988772 4069449 919323 1568990 23154870 21116395 2038475 2038475 23154870 23154870 23154870 21116395 21116395 21116395 Pt V Line 4 Queenscare Family Clinics uses gifts restricted for its charitable purposes to support healthcare related activities. Pt X As required by GAAP, the Clinics have identified and evaluated its significant tax positions for which the statute of limitations remain open and has determined that there is no material unrecognized benefit or liability to be recorded. The open tax years are the years ended June 30, 2008 through June 30, 2011 for federal tax Pt X purposes and the years ended June 30, 2007 through June 30, 2011 for California tax purposes. There have been no material changes in unrecognized benefits as of June 30, 2011, nor are any material changes anticipated in the twelve months following June 30, 2011. There have been no related tax penalties or interest, which would be classified as a tax expense in the statement of activities. X X X X false false false false false false false false false BARBARA B HINES 108248 111639 108248 111639 ALAN ROTHFELD MD 176311 176311 GUILLERMO DIAZ MD 169572 169572 LEE E HUEY 83928 82793 83928 82793 FIKRY FANOUS MD 199501 199501 KHANH NGUYEN MD 182822 182822 ILLUMINADA BETITA MD 162861 162861 ANGELITA ARAQUEL MD 164825 164825 YUNG SOON AHN MD 163723 163723 ALEJANDRO A ARMSTRONG 135731 135731 X 0 2276403 FMV false false false Pt I Line 20 Form 990 During its fiscal year 7/1/2010 - 6/30/11, QueensCare Form 990 Family Clinics received donations of numerous Form 990 pharmaceutical products with an aggregate estimated Form 990 value of $2,276,403 from various pharmaceutical : MANUFACTURERS..; Pt VI-B, Line 11a Following preparation of a final draft of the Form 990, and review by the organization's CEO, a draft that is complete in all material respects is presented to the Finance Committee for approval. Prior to filing the return, such draft is distributed to all Board members prior to the meeting of the Board at which details of the return are discussed and each Board member is provided with the opportunity to ask questions. Pt VI-B, Line 12c The organization's Board members, corporate officers, and staff are subject to a conflict of interest policy. Pursuant to that policy, each such person is required to identify any transaction with the organization in which the person has (or may have) a financial interest. If a conflict (or potential conflict)is identified, the Board, excluding any involved Board members, carefully reviews the terms of the transaction and makes a determination as to whether the transaction is fair and reasonable to the organization under all the facts and circumstances. The organization monitors and enforces compliance with this policy by: (i) discussing such issues at its annual meeting; (ii) requiring all covered persons to annually provide written certifica- tion of their compliance with the policy; and (iii) carefully reviewing all material transactions to identify potential or real conflicts. Form 990, Part IX, Line 24f MESSENGER, POSTAGE 67470. 62689. 4781. OTHER PROFESSIONAL FEES 651093. 529960. 121133. EQUIP. RENTAL & MAINTENANCE 272959. 271192. 1767. PRINTING & PUBLICATIONS 17807. 12254. 5553. PURCHASED SERV-CONTR WORKERS 261614. 255604. 6010. PURCHASED SERV-ADVERTISING 68197. 68163. 34. PURCHASED SERV-SECURITY 210584. 210584. 0. PAYROLL SERVICE 20913. 16855. 4058. PURCHASED SERV-DATA SERVICE 36062. 31125. 4937. MEDICAL WASTE & UNIFORM CLEANING 63246. 63246. UTILITIES 15266. 15266. SUBSCRIPTIONS & DUES 5379 Pt VI-B, Line 15 A Compensation Committee comprised of independent Board members formulates a proposed compensation level for the CEO by reviewing general compensation data for similarly situated organizations. Following such a review, the Compensation Committee presents its findings and recommendations to the Board for approval at a duly organized meeting of the Board at which Board members are provided with the opportunity to ask questions. Based on the findings and recommendations of the Compensation Committee, a Board vote is taken to establish the new compensation level for the CEO. Deliberations of the Compensation Committee and the Board are recorded in the organization's minute book. The evaluation, review, and recommedation process was last undertaken by the organization's Compensation Committee in June 2011 and its findings and recommendations with regard to the CEO's compensation level were approved by the Board in June 2011. Pt VI-C, Line 19 The organization's annual financial information is available on a third-party website (GuideStar). The organization provides copies of its governing documents, its conflict of interest policy, as well as its three most recent Forms 990 to any interested person who makes a request for such documents. Pt VI-A, Line 3 Pursuant to that certain Amended and Restated Clinic Affiliation Agreement, QueensCare Family Clinics and QueensCare formed the QFC/QCP partnership to jointly operate six community family clinics located in the greater Los Angeles area. QueensCare's responsibilities under the terms of that Agreement include providing day-to-day mangement for the operation of the QFC/QCP and on-site management of QFC's personnel to include hiring, training, and discharging QFC personnel. QueensCare also has responsibility for the management and coordination of all administrative services that are provided in the Clinics. Pt VII, Line 1a Board Chairman Allan Michelena devoted approximately two hours of his time per week to a related organization, QueensCare, serving as a director of QueensCare. Board Secretary Sr. Judy Murphy devoted approximately ten hours of her time per week to QueensCare serving as QueensCare's Secretary. Board Treasurer Jay Guerena devoted approximately two hours of his time per week to QueensCare serving as Chairman of the Board of Directors. CEO Barbara B. Hines devoted approximately 20 hours of her time per week serving as QueensCare's CEO. Chief Financial Officer Lee E. Huey devoted approximately 20 hours of his time per week serving as QueensCare's Chief Financial Officer. Sch A, Pt I QueensCare Family Clinics is a hospital described in section 170(b)(1)(a)(iii) of the Internal Revenue Code by reason of the fact that its principal activity is the direct and indirect provision of medical care through neighborhood medical clinics. Queenscare Family Clinics is not licensed to operate a hospital. QUEENSCARE 1300 N VERMONT AVENUE STE 1002 LOS ANGELES CA 90027 951644040 HEALTHCARE FOR THE POOR CA 501(c)(3) 3 NA false QFCQCP 130 N VERMONT AVE LOS ANGELES CA 90027 260502255 TO OPERATE & MANAGE HEALTHCARE CLINICS CA NA RELATED -7506757 false true 0.60000 false true false false false false false false false true true false true true true true false false QFCQCP b 7506757 accrual QFCQCP j 435795 accrual QFCQCP k 12010811 accrual QFCQCP m 736111 accrual QFCQCP n 12010811 accrual QFCQCP p 4504054 QUEENSCARE n 397451 QUEENSCARE o 568501 QUEENSCARE p 520055